Cargando…
Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries
BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recen...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395979/ https://www.ncbi.nlm.nih.gov/pubmed/32738907 http://dx.doi.org/10.1186/s12960-020-00495-7 |
_version_ | 1783565493176631296 |
---|---|
author | Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam |
author_facet | Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam |
author_sort | Vallières, Frédérique |
collection | PubMed |
description | BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recent literature has identified the lack of rigorous approaches towards measuring and monitoring motivation among CTC providers as an important gap. Building on scales used in previous studies, we set out to develop a short, simple-to-administer scale to monitor and measure indicators of CTC provider motivation across CTC programmes implemented in six countries: Ethiopia, Kenya, Malawi, Mozambique, Indonesia, and Bangladesh. METHODS: We used focus group discussions (n = 18) and interviews (n = 106) conducted with CTC providers across all six countries, applying thematic analysis techniques to identify key determinants of motivation across these contexts. These themes were then used to carry out a systematic search of the literature, to identify existing scales or questionnaires developed for the measurement of these themes. A composite 24-item scale was then administered to CTC providers (n = 695) across the six countries. Survey responses were subsequently randomly assigned to one of two datasets: the first for scale refinement, using exploratory techniques, and the second for factorial validation. Confirmatory factor analysis was applied to both datasets. RESULTS: Results suggest a 12-item, four-factor structure, measuring community commitment, organisational commitment, job satisfaction, and work conscientiousness as common indicators of motivation among CTC providers across the six countries. CONCLUSIONS: Consistent with previous studies, findings support the inclusion of job satisfaction, organisational commitment, and work conscientiousness within the CTC Provider Motivation Indicator Scale. In addition, findings further supported the addition of a fourth, community commitment, sub-scale. Practical applications of the revised scale, including how it can be applied to monitor motivation levels within CTC provider programming, are discussed. |
format | Online Article Text |
id | pubmed-7395979 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73959792020-08-06 Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam Hum Resour Health Research BACKGROUND: Close-to-community (CTC) health service providers are a cost-effective and important resource in the promotion of and increasing access to health services. However, many CTC provider programmes suffer from high rates of de-motivation and attrition due to inadequate support systems. Recent literature has identified the lack of rigorous approaches towards measuring and monitoring motivation among CTC providers as an important gap. Building on scales used in previous studies, we set out to develop a short, simple-to-administer scale to monitor and measure indicators of CTC provider motivation across CTC programmes implemented in six countries: Ethiopia, Kenya, Malawi, Mozambique, Indonesia, and Bangladesh. METHODS: We used focus group discussions (n = 18) and interviews (n = 106) conducted with CTC providers across all six countries, applying thematic analysis techniques to identify key determinants of motivation across these contexts. These themes were then used to carry out a systematic search of the literature, to identify existing scales or questionnaires developed for the measurement of these themes. A composite 24-item scale was then administered to CTC providers (n = 695) across the six countries. Survey responses were subsequently randomly assigned to one of two datasets: the first for scale refinement, using exploratory techniques, and the second for factorial validation. Confirmatory factor analysis was applied to both datasets. RESULTS: Results suggest a 12-item, four-factor structure, measuring community commitment, organisational commitment, job satisfaction, and work conscientiousness as common indicators of motivation among CTC providers across the six countries. CONCLUSIONS: Consistent with previous studies, findings support the inclusion of job satisfaction, organisational commitment, and work conscientiousness within the CTC Provider Motivation Indicator Scale. In addition, findings further supported the addition of a fourth, community commitment, sub-scale. Practical applications of the revised scale, including how it can be applied to monitor motivation levels within CTC provider programming, are discussed. BioMed Central 2020-08-01 /pmc/articles/PMC7395979/ /pubmed/32738907 http://dx.doi.org/10.1186/s12960-020-00495-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Vallières, Frédérique Kok, Maryse Mahmud, Ilias Sarker, Malabika Jeacocke, Philippa Karuga, Robinson Limato, Licia Kea, Aschenaki Z. Chikaphupha, Kingsley Sidat, Mohsin Gilmore, Brynne Taegtmeyer, Miriam Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title | Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title_full | Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title_fullStr | Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title_full_unstemmed | Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title_short | Measuring motivation among close-to-community health workers: developing the CTC Provider Motivational Indicator Scale across six countries |
title_sort | measuring motivation among close-to-community health workers: developing the ctc provider motivational indicator scale across six countries |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7395979/ https://www.ncbi.nlm.nih.gov/pubmed/32738907 http://dx.doi.org/10.1186/s12960-020-00495-7 |
work_keys_str_mv | AT vallieresfrederique measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT kokmaryse measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT mahmudilias measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT sarkermalabika measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT jeacockephilippa measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT karugarobinson measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT limatolicia measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT keaaschenakiz measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT chikaphuphakingsley measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT sidatmohsin measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT gilmorebrynne measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries AT taegtmeyermiriam measuringmotivationamongclosetocommunityhealthworkersdevelopingthectcprovidermotivationalindicatorscaleacrosssixcountries |